Beverly C Johnson, MSW
NPI #1891137873 in Mound Bayou, Mississippi
Provider Information
- NPI Number
- 1891137873
- Entity Type
- Individual
- Name
- Beverly C Johnson, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Hospice Care, Community Based
- Credential
- MSW
- Enumeration Date
- Jul 19, 2013
- Last Updated
- Jul 19, 2013
Practice Location
- Address
- 116 S EDWARD AVENUE
- City
- Mound Bayou
- State
- Mississippi
- ZIP Code
- 38762
- Phone
- (662) 719-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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